Southeastern Medical Center
1341 North Clark Street, Cambridge, OH · OhioHealth · · NPI 1053342816
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Rmvl ext fixj sys under anes CPT 20694 | not published | not published | $1,521.28 – $1,582.14 | 3 |
| Rmvl fb upr arm/elbow deep CPT 24201 | not published | not published | $2,748.08 – $2,858.01 | 3 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | $1,085.50 | $1,670.00 | $1,132.12 – $1,177.40 | 3 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | not published | not published | $1,562.54 – $1,625.04 | 3 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $1,686.10 | $2,594.00 | $593.48 – $617.22 | 3 |
| Rmvl perm pm pulse gen CPT 33233 | not published | not published | $7,829.16 – $8,142.32 | 3 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | not published | not published | $7,829.16 – $8,142.32 | 3 |
| Rmvl prosthhumrl&ulnar cmpnt CPT 24160 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Rmvl subq card rhythm mntr CPT 33286 | $3,407.95 | $5,243.00 | $669.95 – $696.75 | 3 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | not published | not published | $2,748.08 – $2,858.01 | 3 |
| Rmvl tot arthrp 1ntrspc crv CPT 22864 | not published | not published | $6,864.94 – $7,139.54 | 3 |
| Rmvl tot arthrp 1ntrspc lmbr CPT 22865 | not published | not published | $6,864.94 – $7,139.54 | 3 |
| Rmv ntr oi implt skl prq esp CPT 69726 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Rmv ntr oi imp sk tc>=100 CPT 69728 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Rmv ntr oi imp sk tc esp<100 CPT 69727 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Rmv sk-mnt crnl nstm pg/rcvr CPT 61892 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Rolapitant, oral, 1mg HCPCS J8670 | not published | not published | $1.86 – $10.53 | 4 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | not published | not published | $30.78 – $197.54 | 4 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $8,950.11 | $13,769.40 | $11.01 – $68.51 | 4 |
| Romiplostim injection HCPCS J2796 | $4,937.63 | $7,596.36 | not published | 0 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | not published | not published | $12.07 – $74.69 | 4 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $29.54 | $45.45 | $0.12 – $0.46 | 2 |
| Rotavirus antibody CPT 86759 | not published | not published | $18.23 – $18.96 | 2 |
| Routine footcare pt w lops HCPCS G0247 | not published | not published | $189.82 – $197.41 | 3 |
| Rozanolixizumab-noli 140 mg/ml subcutaneous solution HCPCS J9333 | not published | not published | $23.16 – $148.33 | 4 |
| Rplcm oi implt sk tc esp<100 CPT 69719 | not published | not published | $12,146.38 – $12,632.24 | 3 |
| Rplcmt oi implt skl prq esp CPT 69717 | not published | not published | $6,864.94 – $7,139.54 | 3 |
| Rplc oi implt sk tc esp>=100 CPT 69730 | not published | not published | $12,146.38 – $12,632.24 | 3 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $2,143.05 | $3,297.00 | $1,489.27 – $1,548.84 | 3 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $1,197.30 | $1,842.00 | $378.21 – $393.34 | 3 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $1,753.70 | $2,698.00 | $1,224.84 – $1,273.83 | 3 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | $2,121.60 | $3,264.00 | $1,352.84 – $1,406.95 | 3 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $1,072.50 | $1,650.00 | $1,489.27 – $1,548.84 | 3 |
| Rpl tun-cvad w subq port CPT 36582 | $2,786.55 | $4,287.00 | $2,987.22 – $3,106.71 | 3 |
| Rpl tun cvc wo subq port CPT 36581 | $2,786.55 | $4,287.00 | $2,987.22 – $3,106.71 | 3 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | not published | not published | $6,124.73 – $6,369.72 | 3 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | not published | not published | $5,719.53 – $5,948.32 | 3 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | not published | not published | $6,124.73 – $6,369.72 | 3 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | not published | not published | $3,387.33 – $3,522.83 | 3 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | not published | not published | $5,719.53 – $5,948.32 | 3 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | not published | not published | $6,124.73 – $6,369.72 | 3 |
| Rpr aa hrn rcr < 3 ncr/strn CPT 49614 | not published | not published | $5,719.53 – $5,948.32 | 3 |
| Rpr aa hrn rcr < 3 rdc CPT 49613 | not published | not published | $3,387.33 – $3,522.83 | 3 |
| Rpr fem hernia init blocked CPT 49553 | not published | not published | $3,387.33 – $3,522.83 | 3 |
| Rpr hern preemie reduc CPT 49491 | not published | not published | $5,719.53 – $5,948.32 | 3 |
| Rpr hypspad comp dsj & urtp CPT 54348 | not published | not published | $5,072.67 – $5,275.58 | 3 |
| Rpr hypspad comp simple CPT 54340 | not published | not published | $3,334.90 – $3,468.30 | 3 |
| Rpr ing hernia baby blocked CPT 49496 | not published | not published | $3,387.33 – $3,522.83 | 3 |
| Rpr ing hernia baby reduc CPT 49495 | not published | not published | $3,387.33 – $3,522.83 | 3 |
| Rpr ing hernia init blocked CPT 49501 | not published | not published | $3,387.33 – $3,522.83 | 3 |
| Rpr ing hernia init reduce CPT 49500 | not published | not published | $6,124.73 – $6,369.72 | 3 |
| Rpr ing hern premie blocked CPT 49492 | not published | not published | $3,387.33 – $3,522.83 | 3 |
| Rpr intst excl anrect fist HCPCS C9796 | not published | not published | $2,625.99 – $2,731.03 | 3 |
| Rpr&refit spct prsth aphakia CPT 92371 | not published | not published | $55.81 – $58.04 | 3 |
| Rpr rem hernia init reduce CPT 49550 | not published | not published | $3,387.33 – $3,522.83 | 3 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | not published | not published | $6,864.94 – $7,139.54 | 3 |
| Rrp hypspad comp moblj&urtp CPT 54344 | not published | not published | $8,956.00 – $9,314.24 | 3 |
| Rsect hip tum incl femur CPT 27078 | not published | not published | $6,864.94 – $7,139.54 | 3 |
| Rsv assay w/optic CPT 87807 | $102.70 | $158.00 | $13.10 – $13.62 | 2 |
| Rsv vacc mrna lipid nano im CPT 90683 | not published | not published | $1,885.00 – $1,885.00 | 1 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | not published | not published | $125.96 – $131.00 | 3 |
| Rtm tx mgmt 1st 20 min CPT 98980 | not published | not published | $25.38 – $26.40 | 3 |
| Rtm tx mgmt ea addl 20 min CPT 98981 | not published | not published | $25.04 – $26.04 | 3 |
| Rubella antibody igg CPT 86762 | $80.60 | $124.00 | $14.39 – $14.97 | 2 |
| Rubeola ag if CPT 87283 | not published | not published | $60.80 – $63.23 | 2 |
| Rubeola antibody igg CPT 86765 | $93.60 | $144.00 | $12.88 – $13.40 | 2 |
| Runx1 gene targeted seq alys CPT 81334 | not published | not published | $329.51 – $342.69 | 2 |
| Russell viper venom diluted CPT 85613 | $60.45 | $93.00 | $9.58 – $9.96 | 2 |
| Rx metab gen seq alys pnl 6 CPT 81418 | $3,530.80 | $5,432.00 | $917.08 – $953.76 | 2 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | not published | not published | $36.28 – $230.36 | 4 |
| Safety plan interven HCPCS G0560 | not published | not published | $39.18 – $40.75 | 3 |
| Salivary gland function exam CPT 78232 | not published | not published | $378.21 – $393.34 | 3 |
| Salivary gland imaging CPT 78230 | $1,476.80 | $2,272.00 | $378.21 – $393.34 | 3 |
| Salivary glnd img serial img CPT 78231 | not published | not published | $378.21 – $393.34 | 3 |
| Salmonella antibody CPT 86768 | $33.80 | $52.00 | $13.19 – $13.72 | 2 |
| Salpingostomy 58770 CPT 58770 | not published | not published | $3,062.57 – $3,185.07 | 3 |
| Same day nb discharge 99463 CPT 99463 | not published | not published | $125.96 – $131.00 | 3 |
| Saquinavir, 200 mg HCPCS S0140 | not published | not published | $0.07 – $0.07 | 1 |
| Sargramostim injection HCPCS J2820 | not published | not published | $50.36 – $390.13 | 4 |
| Sars-cov-2 antb quantitative CPT 86413 | not published | not published | $51.43 – $53.49 | 2 |
| Sarscov2 vac 5mcg/0.5ml im CPT 91304 | not published | not published | $274.61 – $1,050.01 | 2 |
| Sarscov coronavirus ag ia CPT 87426 | not published | not published | $35.33 – $36.74 | 2 |
| Sarscov & inf vir a&b ag ia CPT 87428 | not published | not published | $70.29 – $73.10 | 2 |
| S bowel endoscope w/stent CPT 44379 | $3,640.00 | $5,600.00 | $5,743.54 – $5,973.28 | 3 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $835.90 | $1,286.00 | $225.74 – $234.77 | 3 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $624.00 | $960.00 | $98.91 – $102.86 | 3 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $716.95 | $1,103.00 | $225.74 – $234.77 | 3 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $358.80 | $552.00 | $98.91 – $102.86 | 3 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $544.05 | $837.00 | $98.91 – $102.86 | 3 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $932.10 | $1,434.00 | $98.91 – $102.86 | 3 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $975.00 | $1,500.00 | $225.74 – $234.77 | 3 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $702.00 | $1,080.00 | $98.91 – $102.86 | 3 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $702.00 | $1,080.00 | $98.91 – $102.86 | 3 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $4,356.95 | $6,703.00 | $1,562.54 – $1,625.04 | 3 |
| Scope plantar fasciotomy CPT 29893 | not published | not published | $3,095.56 – $3,219.39 | 3 |
| Scr c/v cyto, automated sys HCPCS G0147 | not published | not published | $18.54 – $19.28 | 2 |
| Scr c/v cyto, autosys, rescr HCPCS G0148 | not published | not published | $31.94 – $33.22 | 2 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | not published | not published | $43.97 – $45.73 | 2 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | $39.00 | $60.00 | $26.49 – $27.55 | 2 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | not published | not published | $27.05 – $28.13 | 2 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.